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Breast CancerNCT01527409

The Efficacy of Health Partnership Program for Cancer Patients

A study testing Tailored health partnership program in people with Breast Cancer and Colon Cancer, run by National Cancer Center, Korea at 10 sites in South Korea.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The Objectives of this study is 1. To evaluate the efficacy for exercise, diet, and posttraumatic growth as a result of participating in tailored program (Health Partnership Program) for 24 weeks 2. Read more about this study

Who is it for?
Ages 20 years and olderHealthy volunteers can take part
Conditions the study is for
Breast Cancer, Colon Cancer, Gastric Cancer
What is being tested?
Tailored health partnership program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
248 participants
Where
10 sitesSouth Korea
Study dates
Feb 2012to Jun 2013
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Adult(≥ 20 years)
  • Within 24 months of completion of primary treatment with curative intent (Surgery, radiotherapy, chemotherapy)
  • Breast, cervical, colorectal (except rectal cancer), lung, and stomach cancer
  • More than two problematic areas among exercise, diet (Fruit \& Vegetable: F\&V), and posttraumatic growth(exercise < 150min/week, ≥ 3mets, F\&V < 5/day, PTGI < 71)

Who cannot join

  • Evidence of secondary tumor, metastasis and recurrence
  • Patients undergoing or planning surgery, radiation therapy or chemotherapy
  • Not Korean speaking and reading (Not communication with Korean)
  • Not understanding of the study purpose and not written informed consent
  • Participants who have an similar study experience
  • Major health problem in which exercise/nutrition intervention is contraindicated at the discretion of clinician; cardiovascular disease (congestive heart failure, angina), pulmonary disease (chronic obstructive pulmonary disease, restrictive pulmonary disease), uncontrolled hypertension, poorly controlled diabetes and severe musculoskeletal disease and so on
Show all 14Show fewer
  • Sign of infection (body temperature ≥ 37.2℃ or WBC ≥ 11,000)
  • Being pregnant
  • Thrombocytopenia (platelet count ≤ 100,000/mcl)
  • Anemia (Hb ≤ 10g/dL)
  • SGOT or SGPT > 40 IU/L
  • Creatinine > 1.2 mg/dL
  • Severe psychiatric disorder (psychotic disorder, major depression and so on) or suicidal tendencies
  • dyspnea

Trial locations and contacts

10 sites in 1 country.

YoungSung Lee, Ph.D contact

+82-31-920-2010

lee.medric@gmail.com

10 sites in 1 country

South Korea10 sites, 10 recruiting
  • Seoul National University Boondang Hospital

    Boondang, Gyunggi

    Jae Young Lim, PhD

    Jae Young Lim, PhD

    Recruiting
  • Keimyng University Dongsan Center

    Daegu

    Chiheum Cho, PhD

    Chiheum Cho, PhD

    Recruiting
  • National Cancer Center

    Goyang, Gyunggi

    Youngsung Lee, PhD, lee.medric@gmail.com

    Youngsung Lee, PhD

    Recruiting
  • Asan Medical Center

    Seoul

    KyungHae Jung, PhD

    KyungHae Jung, PhD

    Recruiting
  • Ewha Womans University Mokdong Hospital

    Seoul

    Soon Nam Lee, PhD

    Soon Nam Lee, PhD

    Recruiting
  • Korea University Anam Hospital

    Seoul

    Eun Sook Lee, PhD

    Eun Sook Lee, PhD

    Recruiting
  • KyungHee University Medical Center

    Seoul

    Siyoung Kim, PhD

    Siyoung Kim, PhD

    Recruiting
  • Samsung Medical Center

    Seoul

    Sung Kim, PhD

    Sung Kim, PhD

    Recruiting
  • Seoul National University Hospital

    Seoul

    Young Ho Yun, PhD, lawyun08@gmail.com

    Dong Young Noh, PhD

    Recruiting
  • Ajou University Medical Center

    Suwon, Gyunggi

    Mi Sun Chun, PhD

    Mi Sun Chun, PhD

    Recruiting

Other trials in South Korea

About this study

The Objectives of this study is

  1. To evaluate the efficacy for exercise, diet, and posttraumatic growth as a result of participating in tailored program (Health Partnership Program) for 24 weeks
  2. To evaluate the efficacy for quality of life, life satisfaction, health leadership, anxiety, depression, impact of event, social support, cancer belief as a result of participating in tailored program (Health Partnership Program) for 24 weeks
  3. To assess the efficacy of such intervention compared with usual care in cancer patients
Read the detailed description

***Background

Improving cancer patients' quality of life has been increasing subject of research for several years. Especially, the patients and their families who are needed to deal with specific care on diverse aspects, such as social, spiritual, existential, psychological aspect should be provided integrated program.

Multidimensional characteristics of the health partnership program were addressed in National Cancer Center (NCC) for exercise, diet, and posttraumatic growth based on transtheoretical (TTM) model, social cognitive theory, health behavioral model, and coaching strategies. This program points out the importance of behavioral approaches in managing their healthy life according to improve patterns of three areas (exercise, diet, and posttraumatic growth).

Strategies that investigators mentioned above can lead those three areas to be effective.

To objective of this study is to support cancer patients to cope with exercise, diet, and posttraumatic growth through tailored program (the health partnership program), and then evaluate the efficacy of the health partnership program.

From evidence extracted from a literature review, contents of the program was elaborated, and tailored from the TTM model. The curriculum is currently being reviewed and validated by expert group of oncologists, nurse, psychologist and health education scientists.

***Method

To determine the efficacy of the program (the health partnership program), a randomized controlled trial will be conducted:

After excluding patients with other causes (anemia, thyroid disease, co morbidities etc), 248 patients will be recruited based on statistical assumption of alpha (0.05), beta (0.20=power 80%), and dropout rate (15%).

First, patients will be stratified according to their age, sex (male vs. female), cancer types (stomach cancer, Breast cancer, cervical cancer, colorectal (except rectal cancer) cancer, and lung cancer), and then allocated to an intervention or control group.

When intervention group participates in the tailored program (the health partnership program), they can receive various information which is related to health management and improving quality of life.

The health partnership program consists of 16 time's tele-coaching, a self leadership workshop, and providing health materials (manuals, workbook, and booklet). Especially, those will be dealt with managing three areas; exercise, diet, and posttraumatic growth based on the transtheoretical model (TTM), social cognitive theory, health behavioral model, and coaching strategies.

Cancer patients who are participated in the tailored program will be received tailored feedbacks that enhance participants of the next level of the program.

On the other hand, the control group could not participate in the health partnership program. The control group could only be treated by usual care and a health education workshop with a health booklet. However, the control group can participate in the health partnership program after 12 month.

Data will be collected before randomization, after intervention, and after a follow-up of 3, 6, and 12 months.

Being tested
Tailored health partnership program, Usual care and health education workshop
Keywords
Exercise, Diet, Posttraumatic growth
Medical subject headings
Breast Neoplasms, Colonic Neoplasms, Stomach Neoplasms, Lung Neoplasms, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Tailored health partnership programBehavioural

    When intervention group participate in the tailored program, they can receive various information which is related with three strategic areas (exercise, diet, and posttraumatic growth).

    Three areas are based on the transtheoretical model (TTM), social cognitive theory, PRECEDE-PROCEED model, and Health behavior model.

    Patients will be received tailored manual and workbook for health tele-coaching that help them to lead their healthy life.

    The health tele-coaching will be operated sixteen times for 24 weeks. Intervention group will be provided three contents (exercise, diet, and posttraumatic growth) from health partners. The health partners took a certificate that is related with health, leadership and coaching.

    Also, patients will be provided a workshop for leadership that is dealt with controlling their healthy life. It will be proceeded for four hours. Three hours is for the leadership, and the last one hour is for presentation of their health mission statement.

  • Usual care and health education workshopBehavioural

    While intervention group participate in the tailored health partnership program, control group can receive various information which is related with ten contents for health management (smoke and drinking, diet, exercise, posttraumatic growth, distress, pain, comorbidity, sleep disturbance, pain, and energy conservation). They will be provided a workshop and booklet for a health education for four hours.

    Twelve month later, they will be provided the tailored health partnership program which is especially dealing with exercise, diet, and posttraumatic growth as same as the intervention group.

Study groups in NCT01527409
Study groupRoleWhat they receive
Experimetal ArmExperimentalProviding tailored health care program, which provides various information related to exercise, diet, and posttraumatic growth. Tailored health partnership program consists of three strategic areas (exercise, diet, and posttraumatic growth). Those areas are based on the transtheoretical model (TTM), social cognitive theory, PRECEDE-PROCEED model, and Health behavior model. Patients who participate in the tailored health partnership program will be received tailored manual and workbook for tele-coaching that help them to lead their healthy life. Also, patients will be provided a workshop for leadership that is dealt with controlling their healthy life.
Receives: Behavioral: Tailored health partnership program
Control ArmNo interventionProviding usual care. Also, patients will be provided a workshop for health education that is dealt with ten areas (smoke and drinking, diet, exercise, posttraumatic growth, distress, pain, comorbidity, sleep disturbance, pain, and energy conservation). Twelve month later, patients will be provided the tailored health partnership program which is especially dealing with exercise, diet, and posttraumatic growth.
Receives: Behavioral: Usual care and health education workshop

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes from Baseline in Exercise, Diet, and Posttraumatic Growth Inventory(PTGI)

    How much the patient does exercise will be measured using "MET" score. Change in diet will be observed by analyzing 3day recall.

    Measured: baseline, 3month, 6month, and 12month

Secondary outcomes (7)
  1. Seven habit profile

    Measured: baseline, 3month, 6month, and 12month

  2. the European Organisation for the Research and Treatment of Cancer Quality-of-life Questionnaire-Core 30(EORTC QLQ C-30)

    Measured: baseline, after 3month, 6month, and 12month

  3. Ed Diner's Satisfaction with Life Scale

    Measured: baseline, after 3month, 6month, and 12month

  4. Impact of Event Scale-Revised

    Measured: baseline, after 3month, 6month, and 12month

  5. Social Support(MOS-SSS)

    Measured: baseline, after 3month, 6month, and 12month

  6. the Hospital Anxiety and Depression scale(HADS)

    Measured: baseline, after 3month, 6month, and 12month

  7. Cancer Belief System(CBS)

    Measured: baseline, after 3month, 6month, and 12month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Feb 2012 (estimated)
  2. Study startFeb 2012
  3. Primary completionDec 2012 (estimated)
  4. Study completionJun 2013 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
248 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01527409
Sponsor's protocol ID
NCCCTS-11-598
Status last verified
Feb 2012
First submitted
10 Jan 2012
Last updated
7 Feb 2012
Results posted
No
Data monitoring committee
No

Publications

  • Eun Sook Lee, M. K. L., Soo Hyun Kim, Jung Sil Ro, Han Sung Kang, Seok Won Kim, Keun Seok Lee, Young Ho Yun. (2010(Accepted) ).

  • Kravitz, R. L., D. J. Tancredi, et al. (2009).

  • Park, S. M., M. K. Lim, et al. (2007).

  • Shin, H. W., D. Y. Noh, et al. (2009).

  • Soo Hyun Kim, M. S. S., Han Sul Lee, Eun Sook Lee, Jung Sil Ro, Han Sung Kang, Seok Won Kim, Won Hee Lee, Chun Ja Kim, Hee Soon Kim, Joo hyung Kim, Young Ho Yun (2010).

  • Street, R. L., Jr., C. Slee, et al.

  • Vale, M. J., M. V. Jelinek, et al. (2003).

  • Wolever, R. Q., M. Dreusicke, et al.

  • Demark-Wahnefried W, Clipp EC, Lipkus IM, Lobach D, Snyder DC, Sloane R, Peterson B, Macri JM, Rock CL, McBride CM, Kraus WE. Main outcomes of the FRESH START trial: a sequentially tailored, diet and exercise mailed print intervention among breast and prostate cancer survivors. J Clin Oncol. 2007 Jul 1;25(19):2709-18. doi: 10.1200/JCO.2007.10.7094.

    PubMed 17602076
  • Katon WJ, Lin EH, Von Korff M, Ciechanowski P, Ludman EJ, Young B, Peterson D, Rutter CM, McGregor M, McCulloch D. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010 Dec 30;363(27):2611-20. doi: 10.1056/NEJMoa1003955.

    PubMed 21190455
  • Morey MC, Snyder DC, Sloane R, Cohen HJ, Peterson B, Hartman TJ, Miller P, Mitchell DC, Demark-Wahnefried W. Effects of home-based diet and exercise on functional outcomes among older, overweight long-term cancer survivors: RENEW: a randomized controlled trial. JAMA. 2009 May 13;301(18):1883-91. doi: 10.1001/jama.2009.643.

    PubMed 19436015
  • Zhong B. How to calculate sample size in randomized controlled trial? J Thorac Dis. 2009 Dec;1(1):51-4.

    PubMed 22263004
  • Kim SH, Shin MS, Lee HS, Lee ES, Ro JS, Kang HS, Kim SW, Lee WH, Kim HS, Kim CJ, Kim J, Yun YH. Randomized pilot test of a simultaneous stage-matched exercise and diet intervention for breast cancer survivors. Oncol Nurs Forum. 2011 Mar;38(2):E97-106. doi: 10.1188/11.ONF.E97-E106.

    PubMed 21356647
  • Yun YH, Kim YA, Lee MK, Sim JA, Nam BH, Kim S, Lee ES, Noh DY, Lim JY, Kim S, Kim SY, Cho CH, Jung KH, Chun M, Lee SN, Park KH, Park S. A randomized controlled trial of physical activity, dietary habit, and distress management with the Leadership and Coaching for Health (LEACH) program for disease-free cancer survivors. BMC Cancer. 2017 May 2;17(1):298. doi: 10.1186/s12885-017-3290-9.

    PubMed 28464804

Questions about this trial

What is this clinical trial studying?

A study testing Tailored health partnership program in people with Breast Cancer and Colon Cancer, run by National Cancer Center, Korea at 10 sites in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 7 Feb 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact YoungSung Lee, Ph.D (+82-31-920-2010, lee.medric@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes from Baseline in Exercise, Diet, and Posttraumatic Growth Inventory(PTGI) (time frame: baseline, 3month, 6month, and 12month). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01527409, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Feb 2012.

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